DOCUMENTS Application# I ! JC 9. 740 01 LI
SI31I i
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - wwv.harne8.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
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Owner(s)of Structure: i/� - 1 Phone: l(��'' 7-17 /
Owner(s)Mailing Ad&- s: 7/41 gym - • a
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Land Owner Name(s):a2e/fd9 � . la-[/QPhone:
Construction or Site Address: �i 1(DLI
PIN# CIO Lo�I 'Lksl 300'0---lb Parcel# b S aCola
Job Cost: Description of Work to be done /-ve,la-c nd" j4,, ,.,,,al er,I'd'
---,lit rr S Q c C
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork Gas Piping_Other
Electrical*: 200 Amp_<200 Amp_Service Change Service Reconn Other
' For Progress Energy customers we need the p mise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater
Seed 'c Iirections to Job from Lillin• o : e t% 'V
/..F/ c.") -‘4, Fy Ra' / .••1/ /o /ia.3 /A,1 {
Subdivision: Lot#:
I will provide the labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is , which entitles me to
perform such work on the above structure legally. All work shall comply with the State Building Code and all
other applicable State and local laws, ordinances and regulations.
Air' 2)4442 A/P�r (Cie/ gip �s.� � /
Contractor's Company Name ( �j / Telephone
g o3 6G'j r N z-€04'G /` n A. d
Address Email Address
License#
Structure Owner/Contractor Signatur ' e' / 4c• ✓DJ Date: a'/'�U/�
By signing this application you affirm t t you have obtained permission from the above listed license holder to
purchase permits on their behalf. If doing the work as owner you understand that you cannot rent, lease or sell
the listed property for 12 months after completion of the listed work.
`Company name, address, 8 phone must match information on license
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50041074 Date 3/31/17
Property Address 1143 PURFOY RD
PARCEL NUMBER 08-0664- - -0012- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name JAMES G & ELEANOR M TUTOR
Property Zoning RES/AGRI DIST - RA-40
Owner Contractor
TUTOR JAMES C & DEBRA OWNER
1143 PURFOY RD
FUQUAY-VARINA NC 27526
(919) 552-6497
Applicant
TUTOR JAMES
1143 PURFOY RD
FUQUAY-VARINA NC 27526
(919) 753-3451
--- Structure Information 000 000 REPLACE BURNED OUT METER BASE
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE
WATER SUPPLY NA
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc
Phone Access Code 1185123
Issue Date . . . 3/31/17 Valuation . . . 0
Expiration Date . 3/31/18
Special Notes and Comments
T/S : 03/31/2017 03 :47 PM JBROCK ----
401 N TO CHALYBEATE ANGIER RD L ON
PURFOY RD
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50041074 Date 3/31/17
Property Address 1143 PURFOY RD
PARCEL NUMBER 08-0664- - -0012- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name JAMES G & ELEANOR M TUTOR
Property Zoning RES/AGRI DIST - RA-40
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1185123
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 211 E211 R*ELEC ABOVE CEILING —/—/-
999 217 E217 R*ELEC RECONNECT —/—/-
999 205 E205 R*ELEC UNDER SLAB —/—/-
999 215 E215 R*ELEC. UND. POOL —/—/-
999 213 E213 R*ELECTRICAL UNDERGROUND _/_/-
999 131 R131 ONE TRADE FINAL —/ /
999 125 R125 ONE TRADE ROUGH IN —/ /—